Welcome to the Physician/Provider pages on the Pennsylvania Health Law Project website. These pages were developed by a physician in and attorneys at PHLP to help physicians help patients.
About this site:
This web site is designed to help physicians help patients obtain health care from Pennsylvania Medical Assistance, (MA) or Medicaid.
If you practice in another state and have found this site, some general information will be useful but you must check the specifics of your state, or go to the National Health Law Project for
national Medicaid information.
This site contains:
Physicians’ Guide to Medical Assistance in Pennsylvania
FAQs to explain a complicated system
Completing forms and writing letters to the Department of Public Welfare
Special rules for kids
Quick online eligibility check for uninsured patients
Prescription benefits, healthplans, and formularies
General information about prescription benefits under
HealthChoices and Access
Writing a Letter of Medical Necessity
Understanding a letter of medical necessity
Learn how to write a Letter of Medical Necessity to meet legal definitions and
obtain necessary services and equipment for your patient
Denials and appeals
- Helping your patient appeal denied services
Other resources at PHLP
All information on this site is derived from
published materials of Health Choices or the Pennsylvania Department
of Public Welfare or HealthChoices managed care organizations.
Disclaimer for formulary information
If you discover errors or want to suggest changes please call the Pennsylvania Health Law Project at 1-800-274-3258 or email us at xxxxxxxxxxx.
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